NPIMap

Individual provider Active NPI

Lara El Masri, MD

  • Family Medicine Physician
  • Grosse Pointe, MI
National Provider Identifier
1407384712
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301112795 Issued in MI
Practice address
17000 Kercheval Ave Ste 205
Grosse Pointe, MI 48230-1570
Phone
(313) 640-2424
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301112795 MI Primary

Addresses

Primary practice location

17000 Kercheval Ave Ste 205
Grosse Pointe, MI 48230-1570

Mailing address

17000 Kercheval Ave Ste 205
Grosse Pointe, MI 48230-1570
Phone (248) 964-0400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lelmasri461962@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813002974 MI Practitioner - Family Practice 7012288996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

17000 Kercheval Ave
Suite 205
Grosse Pointe, MI 48230-1570
Phone (313) 640-2424

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Aug 3, 2020 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Aug 3, 2020 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

17000 Kercheval Ave
Ste 205
Grosse Pointe, MI 48230
Phone (313) 640-2424

44250 Dequindre Rd
Sterling Hts, MI 48314
Phone (248) 964-0400

Interoperability endpoints

  • Direct secure messaging: lelmasri443473@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1407384712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 KERCHEVAL AVE STE 205",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301570",
            "telephone_number": "248-964-0400",
            "fax_number": "248-964-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 KERCHEVAL AVE STE 205",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301570",
            "telephone_number": "313-640-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL MASRI",
        "first_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301112795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lelmasri461962@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "17000 Kercheval Ave Ste 205",
            "city": "Grosse Pointe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482301570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

Verify at the official NPI Registry.